@layout("/common/_form.html",{js:["/assets/modular/order/order_edit.js"]}){

<form class="layui-form" id="orderForm" lay-filter="orderForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">订单详情</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="userName" name="userName"  type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone"  type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收货地址<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="deliveryAddress" name="deliveryAddress"  type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">支付方式</label>
                        <div class="layui-input-block">
                            <input type="radio" name="receiveType" value="1" title="支付" checked/>
                            <input type="radio" name="receiveType" value="2" title="试用"/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">物流公司</label>
                        <div class="layui-input-block">
                            <input type="radio" name="expressCompanyId" value="4" title="顺丰速运" checked/>
                            <input type="radio" name="expressCompanyId" value="6" title="中通快递"/>
                            <input type="radio" name="expressCompanyId" value="7" title="申通快递"/>
                            <input type="radio" name="expressCompanyId" value="8" title="圆通速递"/>
                            <input type="radio" name="expressCompanyId" value="9" title="韵达速递"/>
                            <input type="radio" name="expressCompanyId" value="15" title="德邦快递"/>
                            <input type="radio" name="expressCompanyId" value="11" title="EMS"/>
                            <input type="radio" name="expressCompanyId" value="5" title="百世快递"/>
                            <input type="radio" name="expressCompanyId" value="12" title="天天快递"/>
                            <input type="radio" name="expressCompanyId" value="13" title="京东快递"/>

                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">物流单号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="trackingNo" name="trackingNo" placeholder="物流单号" type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">数量<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="quantity" name="quantity" placeholder="数量" type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">验证码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="verificationCode" name="verificationCode" placeholder="验证码" type="text" class="layui-input" lay-verify="required" />
                        </div>
                    </div>


                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>
<script type="text/javascript" charset="utf-8" src="${ctxPath}/assets/common/UEditor/ueditor.config.js"></script>
<script type="text/javascript" charset="utf-8" src="${ctxPath}/assets/common/UEditor/ueditor.all.js"> </script>
<script type="text/javascript" charset="utf-8" src="${ctxPath}/assets/common/UEditor/lang/zh-cn/zh-cn.js"></script>
<script id="editor" type="text/plain" style="width:1024px;height:500px;"></script>

@}
